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Department Leaders Mentoring Program Application

WHAT IS THE ASA DEPARTMENT LEADERS MENTORING PROGRAM?

The ASA Department Leaders Mentoring Program provides one-on-one support, feedback, advice, and coaching to sociologists to help them increase their effectiveness as actors in a particular institutional role, such as department chair, division coordinator, or graduate studies director. The purpose of the Mentors Program is not to help individuals with their own publication or teaching.

The Mentoring Program is a volunteer effort – mentors do not receive monetary payment for their services. Meetings with mentors generally take place through phone conversations, email, and web-based video conferencing. The length of mentor relationships is negotiated on a case-by-case basis, but may typically extend over 6 to 12 months.

To apply for a mentor, please fill out this questionnaire and also send a copy of your current CV to rpa@asanet.org. Please understand that it may take 3-6 weeks to make a mentor match.

1. Contact Information:

First Name

Last Name

Title

Institution

Department/Program

Street Address

Street Address 2

City

State

Zip

Country

Email Address

Best phone number to reach you

Second phone

URL

2. What is the institutional role that you would like to focus on with your mentor?

Please enter an 'other' value for this selection.

3. Copy of What is the institutional role that you would like to focus on with your mentor?

Please enter an 'other' value for this selection.

4. How long have you had this institutional role?

Please enter an 'other' value for this selection.

5. How did you learn about the Department Leaders Mentoring Program? (Please check all that apply)

ASA Footnotes
ASA Chairs Preconference
ASA web page
A colleague
Other (please specify) Please enter an 'other' value for this selection.

6. Copy of How did you learn about the Department Leaders Mentoring Program? (Please check all that apply)

ASA Footnotes
ASA Chairs Preconference
ASA web page
A colleague
Other (please specify) Please enter an 'other' value for this selection.

7. Please list two or three peer institutions for your college/university.

8. If your institution has a special mission (religiously affiliated, community college, HBCU or Hispanic-serving institution, etc.), what is that mission?

9. Which of the following best describes your department?

Please enter an 'other' value for this selection.

10. Students in your department can major and/or concentrate in (please select all that apply):

Sociology
Anthropology
Criminology
Criminal Justice
Social Work
Other (please specify) Please enter an 'other' value for this selection.

11. What is the highest degree granted in your department?

12. How many professors at each rank work in your department? (approximations are okay)

Full:
Associate:
Assistant:
Instructor/Lecturer:
Adjunct:
Graduate student instructor:

13. Approximately how many student majors are in your department?

14. Does your department have a department-wide program in place for assessing student outcomes?

15. Are there any specific departmental issues or concerns that you would like to focus on in your work with your mentor?

Please look over the list below and check all that apply.

16. Copy of Are there any specific departmental issues or concerns that you would like to focus on in your work with your mentor?

Please look over the list below and check all that apply.